The client who has experienced blunt trauma to the chest is at risk for developing a hemo-thorax. Which would the nurse expect to find in a client with a hemothorax?
A. Hemoptysis
B. Paradoxical chest movements
C. Percussion dullness on affected side
D. Hypertympanic sound on affected side
C
A hemothorax involves bleeding into the thoracic cavity (not into the pulmonary tree so hemop-tysis does not occur), decreasing lung inflation on the affected side. As a result of decreased lung inflation, percussion sounds become duller and less resonant.
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A 54-year-old patient has a cholesterol level of 240 mg/dL. How would the nurse categorize this serum concentration of cholesterol?
A) Optimal B) Desirable C) High D) Very high
Which of the following best describes why grandparents would be the primary caregivers for their grandchildren?
a. Because they fell in love with the newborn and wanted that small person to be a part of their lives b. Because the parents were drug abusers or in the prison system c. Raising a grandchild is easier because grandparents have already been experienced parents d. Raising a child gives purpose to life for the grandparents
The husband of a client with terminal cancer has expressed a high degree of stress over his role as caregiver. When asked whether he has suicidal or homicidal thoughts he answered, "Sometimes."
Which of the following nursing statements is most therapeutic initially? 1. "What is the hardest part about your wife's impending death?" 2. "Can you describe your plan for killing yourself and your wife?" 3. "What can I do to help make caring for your wife less stressful?" 4. "Can you tell me how caring for your wife has affected you personally?"
The nurse is aware that which of the following clients is at greatest risk for developing medica-tion toxicity?
1. The 16-year-old anorexic 2. The 35-year-old with liver cancer 3. The 45-year-old chronic alcoholic 4. The 73-year-old diagnosed with hepatitis B